Ep 122 Sepsis and Septic Shock – What Matters from EM Cases Course

Ep 122 Sepsis and Septic Shock – What Matters from EM Cases Course

In this podcast Dr. Sara Gray, intensivist and emergency physician, co-author of The CAEP Sepsis Guidelines, answers questions such as: How does one best recognize occult septic shock? How does SIRS, qSOFA and NEWS compare in predicting poor outcomes in septic patients? Which fluid and how much fluid is best for resuscitation of the septic shock patients? What are the indications for norepinephrine, and when in the resuscitation should it be given, in light of the CENSER trial? What are the goals of resuscitation in the patient with sepsis or septic shock? When should antibiotics administered, given that the latest Surviving Sepsis Campaign Guidelines recommend that antibiotics be administered within one hour of arrival for all patients suspected of sepsis or septic shock? What are the indications for a second vasopressor after norepinephrine? Given the conflicting evidence for steroids in sepsis, what are the indications for steroids? Should we be considering steroids with Vitamin C and thiamine for patients in septic shock? What are the pitfalls of lactate interpretation, and how do serial lactates compare to capillary refill in predicting poor outcomes in light of the ANDROMEDA trial? Is procalcitonin a valuable prognostic indicator in septic patients? and many more...

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Episoder(400)

Ep 222 Imaging Decisions in Emergency Medicine

Ep 222 Imaging Decisions in Emergency Medicine

When to image, when to wait, and what to do when the ideal test isn’t available are often far more nuanced than they appear. In this EM Cases episode, Dr. Amit Shah joins Anton to tackle some of the t...

25 Aug 48min

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

Ep 221 EM-Primary Care Health Systems Strategies, Myths, Misperceptions and Solutions

There are few things more frustrating for an Emergency Physician than caring for patient after patient who lands in the ED not because it’s necessarily the best place for their care, but because every...

11 Aug 1h 43min

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

EM Quick Hits 72 EMC²: Peds Neurocritical Care, Pulmonary Hypertension, Cytokine Release Syndrome, Peds Wrist Fracture, Bradycardia ECG Interpretation, Coaching the EM Mind Part 2

In this month’s EM Quick Hits Podcast, Amna Karabegovic joins us for an EMC² case of pediatric altered LOA and neurocritical care, Anand Swaminathan simplifies the high-risk management of pulmonary hy...

21 Jul 1h 39min

Ep 220 Facial Injuries: Assessment, Management and Disposition

Ep 220 Facial Injuries: Assessment, Management and Disposition

Facial trauma is common in emergency medicine, but the biggest pitfalls are often not the fractures themselves—they're the threatened airway, vision-threatening ocular injuries, missed septal hematoma...

30 Jun 1h 43min

Ep 219 Hip Emergencies: Recognition and Management

Ep 219 Hip Emergencies: Recognition and Management

Hip complaints are bread-and-butter emergency medicine—but every so often they are anything but straightforward. The obvious shortened, externally rotated leg after a fall is one thing; the patient wi...

16 Jun 1h 25min

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Journal Jam 24 Antibiotics for Strep Throat: Evidence, Myths and Misperceptions

Antibiotics for strep throat seem like a simple decision—but the evidence is anything but simple. In this Journal Jam podcast with Dr. Casey Parker and Dr. Justin Morgenstern, we critically appraise t...

2 Jun 1h 19min

Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change

Ep 218 Substance Use Disorder in the ED – Stigma, Compassion and System Change

Emergency physicians pride themselves on recognizing and treating life-threatening illness under pressure. Yet one of the most lethal, common, and treatable conditions presenting to our EDs still ofte...

19 Mai 1h 1min

Ep 217 Pediatric Agitation: Assessment and Management

Ep 217 Pediatric Agitation: Assessment and Management

Pediatric agitation in the Emergency Department is one of those presentations that can escalate quickly and leave even experienced clinicians feeling on edge. It is high-risk, resource-intensive, and ...

28 Apr 1h 22min

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